Associative Stigma among Mental Health Professionals

Verhaeghe, Mieke; Bracke, Piet

doi:10.1177/0022146512439453

Cited by 106 publications

(61 citation statements)

References 73 publications

(100 reference statements)

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“…Because cultural stigma beliefs are a societal feature, our research provides further evidence that stigma might pose an important threat, both to individual health and to public health in general (Link and Phelan, 2006). The effects of stigma beliefs that are embedded within a common culture are not limited to the effectiveness of specific mental health services (Rosenfield, 1997;Sirey et al, 2001;Verhaeghe et al, 2010;Verhaeghe and Bracke, 2012). They are also likely to affect the mental health of the population as a whole, as stigma acts as a barrier to professional mental health support for individuals who are currently in need of such support, as well as for those who might need it in the future.…”

Section: Discussionmentioning

confidence: 77%

Dominant Cultural and Personal Stigma Beliefs and the Utilization of Mental Health Services: A Cross-National Comparison

2019

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Purpose: The detrimental impact of stigma on the utilization of mental health services is a well-established finding. Nevertheless, most studies consider only the personal or interactional dimensions of stigma. This contribution makes a distinction between the dominant beliefs about stigma within a culture and the personal beliefs of individuals with regard to stigma. We hypothesize that both have an impact on professional-care seeking within the field of mental health. Methods: A multi-level research design is used to estimate the effects of both types of stigma beliefs on the likelihood of consulting general and specialized health professionals about mental health problems in 28 European countries (N of individuals = 24,881, Eurobarometer 248, 2005-2006). Results: In countries where stigmatizing beliefs are dominant, the likelihood of seeking help from specialized mental health professionals is constrained, and individuals refrain from contacting general practitioners when in need of formal support, regardless of their own personal stigma beliefs. Conclusion: The present study signals the importance of stigma beliefs as shared cultural phenomena, and of personal stigma beliefs to the likelihood of seeking professional care for mental health problems. We therefore propose that most studies on stigma and formal-care seeking underestimate the pervasive effects of stigma beliefs, due to methodological individualism.

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Section: Discussionmentioning

confidence: 77%

Dominant Cultural and Personal Stigma Beliefs and the Utilization of Mental Health Services: A Cross-National Comparison

2019

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“…These findings are consistent with past research, which has found that stigmatization towards patients among mental health workers is associated with more self-stigma and poorer job satisfaction. [22] Additionally, stigma towards BPD patients at baseline predicted client burnout following training, even after controlling for pretreatment burnout levels. In contrast, pre-treatment burnout did not significantly predict BPD stigma following training.…”

Section: Discussionmentioning

confidence: 99%

Effects of dialectical behavior therapy skills training on outcomes for mental health staff in a child and adolescent residential setting

Haynos

Fruzzetti

Anderson

et al. 2016

JHA

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Training in Dialectical Behavior Therapy (DBT) skills coaching is desirable for staff in psychiatric settings, due to the efficacy of DBT in treating difficult patient populations. In such settings, training resources are typically limited, and staff turnover is high, necessitating brief training. This study evaluated the effects of a brief training in DBT skills coaching for nursing staff working in a child and adolescent psychiatric residential program. Nursing staff (n = 22) completed assessments of DBT skill knowledge, burnout, and stigma towards patients with borderline personality disorder (BPD) before and after a six-week DBT skills coaching training. Repeated measure ANOVAs were conducted to examine changes on all measures from pre- to post- treatment and hierarchical linear regressions to examine relationships between pre- training DBT knowledge, burnout, and BPD stigma and these same measures post-training. The brief DBT skill coaching training significantly increased DBT knowledge (p = .007) and decreased staff personal (p = .02) and work (p = .03) burnout and stigma towards BPD patients (p = .02). Burnout indices and BPD stigma were highly correlated at both time points (p < .001); however, while pre-training BPD stigma significantly predicted post-training client burnout (p = .04), pre-training burnout did not predict post-training BPD stigma. These findings suggest that brief training of psychiatric nursing staff in DBT skills and coaching techniques can result in significant benefits, including reduced staff burnout and stigma toward patients with BPD-related problems, and that reducing BPD stigma may particularly promote lower burnout.

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“…It is possible that these participants were sensitive to negative experiences, including SBA, and thus avoided social experiences and social events to reduce the risk of rejection and stress (Philips & Benoit, 2013). Withdrawal from one's social network and social events might also have been necessary to prevent emotional exhaustion (Verhaeghe & Bracke, 2012).…”

Section: Stigma By Associationmentioning

confidence: 99%

Experiences of stigma by association among family members of people with mental illness.

Sanden¹,

Bos²,

Stutterheim³

et al. 2013

Rehabilitation Psychology

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Associative Stigma among Mental Health Professionals

Cited by 106 publications

References 73 publications

Dominant Cultural and Personal Stigma Beliefs and the Utilization of Mental Health Services: A Cross-National Comparison

Dominant Cultural and Personal Stigma Beliefs and the Utilization of Mental Health Services: A Cross-National Comparison

Effects of dialectical behavior therapy skills training on outcomes for mental health staff in a child and adolescent residential setting

Experiences of stigma by association among family members of people with mental illness.

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